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LA JOLLA FACIAL PLASTIC SURGERY INC
NPI 1033587589
Otolaryngology - Otolaryngology/Facial Plastic Surgery in San Diego, CA

Active since September 14, 2015
4765 CARMEL MOUNTAIN RD, SUITE 103, SAN DIEGO, CA 92130(858) 461-0383(858) 430-2772 Get Directions Write a Review

NPPES record last updated: February 21, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Feb 21, 2017, Nov 13, 2015 (2 updates tracked since 2015).

About La Jolla Facial Plastic Surgery Inc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LA JOLLA FACIAL PLASTIC SURGERY INC (NPI 1033587589) is a healthcare organization registered as an otolaryngology/facial plastic surgery in San Diego, California and active in the NPI registry since September 2015. The organization lists Victor Chung, President/director, as its authorized official.

NPPES Registry Identity

NPI1033587589
Entity TypeOrganization
Primary Taxonomy207YX0905X
Legal Business NameLA JOLLA FACIAL PLASTIC SURGERY INC
Location Address4765 CARMEL MOUNTAIN RD, SUITE 103San Diego, CA 92130-6657
Mailing Address4765 Carmel Mountain Rd, Suite 103San Diego, CA 92130-6657 · (858) 461-0383 · Fax (858) 430-2772
Phone(858) 461-0383
Fax(858) 430-2772
Organization SubpartNo
Authorized OfficialVictor ChungPresident/director · (858) 461-0383
Enumeration DateSeptember 14, 2015
Last NPPES UpdateFebruary 21, 20172 updates tracked since enumeration
✔ NPI 1033587589 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOtolaryngology · Otolaryngology/Facial Plastic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207YX0905X
License✔ Licensed in CA · A136426
Definition
An otolaryngologist who specializes in the diagnosis and surgical treatment of head and neck conditions.
4765 CARMEL MOUNTAIN RD, San Diego, CA 92130
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 19

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JAMES DONALD FONTAINE M.D.
Physical Medicine & Rehabilitation
4765 CARMEL MOUNTAIN RD, 207B
SAN DIEGO, CA 92130
San Diego County (858) 876-1300
SHAHIN SAFARIAN DMD
Dentist (General Practice)
4765 CARMEL MOUNTAIN RD, SUITE 203
SAN DIEGO, CA 92130
San Diego County (858) 755-8993
DR. JAMES PATRICK TASTO D.D.S.
Dentist (General Practice)
4765 CARMEL MOUNTAIN RD, SUITE #101
SAN DIEGO, CA 92130
San Diego County (858) 523-1330
LORI ANN SAFAR, DDS INC.
Dentist (General Practice)
4765 CARMEL MOUNTAIN RD, SUITE 206
SAN DIEGO, CA 92130
San Diego County (858) 481-8688
DR. VICTOR CHUNG M.D.
Otolaryngology (Facial Plastic Surgery)
4765 CARMEL MOUNTAIN RD, STE 103
SAN DIEGO, CA 92130
San Diego County (858) 461-0383
DR. NOUSHIN SHOAEE DPM
Podiatrist (Foot & Ankle Surgery)
4765 CARMEL MOUNTAIN RD, SUITE 104
SAN DIEGO, CA 92130
San Diego County (858) 481-8240
ALAYNA JOY HENDERSON PTA
Physical Therapy Assistant
4765 CARMEL MOUNTAIN RD
SAN DIEGO, CA 92130
San Diego County (858) 847-0055
MRS. TANYA WAGERS TRACY M.P.T.
Physical Therapist
4765 CARMEL MOUNTAIN RD, SUITE 202
SAN DIEGO, CA 92130
San Diego County (858) 847-0055

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is La Jolla Facial Plastic Surgery Inc's NPI number?

The NPI number for La Jolla Facial Plastic Surgery Inc is 1033587589. It was assigned to this organization in the NPPES registry on September 14, 2015.

Where is La Jolla Facial Plastic Surgery Inc located?

La Jolla Facial Plastic Surgery Inc is located at 4765 Carmel Mountain Rd Suite 103, San Diego, CA 92130. The listed phone number is (858) 461-0383.

What is La Jolla Facial Plastic Surgery Inc's specialty?

The primary specialty registered for this NPI is Otolaryngology, specializing in Otolaryngology/Facial Plastic Surgery, with taxonomy code 207YX0905X.

When was this NPI record last updated?

The NPPES record for La Jolla Facial Plastic Surgery Inc was last updated on February 21, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.